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Hair dye and chemical straightener use and breast cancer risk (2019)

onlinelibrary.wiley.com

89 points by ImpressiveWebs 2 years ago · 31 comments

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exceptione 2 years ago

From a quick scan the results are a bit surprising. One should know that dying ones hair involves 2 components:

1. developer. Some liquid that breaks open your hair follicles, containing usually 3%/6%/9% hydrogen peroxide. This is the aggressive stuf.

2. hair dye. The stuff that contains the color pigments.

The more you have to bleach the hair, the more aggressive the developer formulation needs to be. If you have perfectly black hair and you want to go blond, you basically going for the nucleair scenario: aggressively breaking open your hair follicles so that the existing dark pigments will fall out of it (bleach) so that the new pigments can enter eventually.

It suggests that black women have higher risks than white women. But also that semi-permanent dyes do incur way less risk. Semi-permanent dyes work different as in that the developer is way less aggressive, as a trade of with doing a less thorough job in getting the hair follicles to open.

The strange this is that for black women, the color of the permanent dye makes a more drastic difference in cancer risk compared to white women.

"The association with permanent dye use among black women was evident for both dark-colored dye (HR = 1.51, 95% CI: 1.12–2.05) and, although less precise, light-colored dye (HR = 1.46, 95% CI 0.91–2.34). Among white women, breast cancer risk was associated with use of light-colored permanent dye (HR = 1.12, 95% 1.01–1.23) but not dark dye (HR = 1.04, 95% 0.94–1.16)."

For me, this leaves the question open if one is comparing apples with apples, as I don't see the formulation for the developer accounted for.

  • Tozen 2 years ago

    I'm confused by your analysis. For black women, it's not just hair dye, but they have hair straightener products that have companies putting some very toxic and carcinogenic stuff into them. So black women can be putting themselves at greater risk, if they use such chemical straighteners (they do have non/less toxic options).

    It also indicates that black women are less likely to get breast cancer than white women, but when they do, they are more likely to die from it for a whole bunch of reasons. To include factors like time of diagnosis, quality, or cost of medical care.

    > For me, this leaves the question open if one is comparing apples with apples, as I don't see the formulation for the developer accounted for.

    Here, I agree with you. Clearly what the companies are putting into the products vary significantly. That by itself, might be worthy of more study as to what's gong on. Dumping more toxic and carcinogenic chemicals into the product, would seem to clearly increase risk. For consumers, they need a guide as to what products and ingredients are safer or more dangerous. Looks like certain ingredients arguably need cancer warnings or some kind of warning on the label.

    • exceptione 2 years ago

      My response to this article was maybe not well formulated. I just wanted to voice that the study observed different effects related to the type of dying: semi versus permanent, dark vs light, which points to the role of the developer formulation. Unless the coloring chemicals are different between semi and permanent too.

      I think we agree that we still have no idea about what has been measured here.

  • remram 2 years ago

    Maybe those things are correlated with the use of other beauty products that cause cancer. If you regularly dye and straighten your hair, you are likely to have an extensive beauty routine that includes all kinds of substances.

    It doesn't look like they corrected for this, unless I missed it.

  • abracadaniel 2 years ago

    I wonder how that shakes out for hair stylists who are exposed more. They wear gloves, so maybe they don’t actually get much skin contact, but I wonder if rates would correlate with how careful they are with ppe.

  • nebalee 2 years ago

    I think you are confusing follicle with cuticle.

karim79 2 years ago

This one caught my attention.

In 2015 my (now ex) girlfriend was diagnosed with TNBC. I obviously researched the hell out of it to gain as much of an understanding as I possibly could as a non-medical professional as I'm sure anyone would, and most of my reading suggested that it was mostly African American women and youngish white ladies who tend to get this.

As far as I know, she had used permanent die at least once in her early twenties. Thankfully less than a year later and after chemo and surgery, she fully recovered.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7783321/

Edit: added space after comma, fixed grammo

  • throwawaymaths 2 years ago

    TNBC is not really a direct category of breast cancer. It's a catch all for "any breast cancer that doesn't have one of the main three targettable handles associated with breast cancer"[0]

    In many cases, it could even be a cancer "from some other organ" that winds up in the breast and happens to, even by chance (not growing in the breast because it's a favorable environment), grow there.

    [0] could explain why TNBC is more common in African American women -- less research done in those populations

    • karim79 2 years ago

      > TNBC is not really a direct category of breast cancer. It's a catch all for "any breast cancer that doesn't have one of the main three targettable handles associated with breast cancer"

      > In many cases, it could even be a cancer "from some other organ" that winds up in the breast and happens to, even by chance (not growing in the breast because it's a favorable environment), grow there.

      That would imply metastasis, would it not? By which, the originating organ of the tumour could be determined by examining the samples from the initial biopsy. The doctor said that in the case of TNBC there is no hormone expression, which makes it differ from other BC types, and why a more aggressive chemo regime is required for this diagnosis.

      I was there, at her second-opinion encounter. Nothing was mentioned about it possibly originating from another organ. She had had repeated body scans, blood work, all that one can imagine. I'm not saying you are wrong, I am saying there was not a single mention in any part of the treatment nor received "coping" literature that this could have come from another organ.

      • throwawaymaths 2 years ago

        It doesn't imply metastasis in the way you're thinking about it. Just because a cancer cell has moved once doesn't mean it will aggressively keep moving to other organs.

        Honestly doctors won't investigate too hard because the recommended course of action is likely going to be the same.

        Anyways the longtime leading TNBC model cell line (which came from an African American woman, IIRC) turned out to be "likely originating from a melanoma".

        https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5515196/

        • karim79 2 years ago

          > Anyways the longtime leading TNBC model cell line (which came from an African American woman, IIRC) turned out to be "likely originating from a melanoma".

          Wow, I had to read that several times. I need to read it a few more times I think. Thank you for that.

  • manmal 2 years ago

    Sorry to hear this. But are you implying one single use of hair dye could have caused her cancer?

    • chmod775 2 years ago

      You're rolling the dice every time you do something that increases your cancer risk. Cancer doesn't have some sort of threshold where you get it.

      So yeah, it could have caused it. Is it the likely cause? Maybe not.

    • Spooky23 2 years ago

      Cancer is a numbers game. Unlike say, blackjack, you only know about certain risk factors. Many are unknown.

      With skin cancer, getting a sunburn every two years triples your risk of developing melanoma. With the fairest skin types, even a single severe burn can increase risk if melanoma. Other skin cancers tend to result from constant exposure over time.

      I don’t know much about this scenario with hair product. But if you have some other risk factors, it’s not unreasonable that a single exposure may result in a bad outcome.

  • bsder 2 years ago

    Viral or environmental triggers are WAY more likely in someone so young.

echelon 2 years ago

The paper cites endocrine disruption, but that seems like the least of your worries.

Dyes have electron delocalization. That's why they're optically active. Those bonds will gladly participate in chemical reactions within your body. (One of the cited chemicals was a biphenyl, and looked particularly nasty.)

Chemical straightener is even worse. They're intended to break disulfide bonds, which are of critical importance in biochemical structure.

This stuff could percolate to your DNA and introduce deleterious changes.

milsorgen 2 years ago

I've used my fair share of dyes since my blue haired teenage years and I'm curious as they mention non-professional applications of dye in terms of risk. Does this mean the risk is elevated during the application phase and not the 'wearing' phase of dye use?

>We observed a higher breast cancer risk associated with any straightener use and personal use of permanent dye

  • karim79 2 years ago

    Assuming that the application phase leads to permanence I don't really see the difference, yet I get your point. E.g. massaging the dye into the scalp vs a pro not going to deep into the roots.

Thoeu388 2 years ago

This theory was quite popular in manosphere. Some hardcore haters were even making videos to warn women. If you check sources, studies like this go back to 1970ties. It will be interesting to see, if it gains traction now.

  • arp242 2 years ago

    You can have the right conclusion for all the wrong reasons, or the wrong conclusion for all the right reasons. It's really the reasoning that matters more than the conclusion which, certainly in this case, seems coincidentally similar more than anything else.

  • NBJack 2 years ago

    Sorry? What do you mean here? Hate on what/who?

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